EP1720460A2 - Aiguille a suture chirurgicale a region spherique franche - Google Patents

Aiguille a suture chirurgicale a region spherique franche

Info

Publication number
EP1720460A2
EP1720460A2 EP05712329A EP05712329A EP1720460A2 EP 1720460 A2 EP1720460 A2 EP 1720460A2 EP 05712329 A EP05712329 A EP 05712329A EP 05712329 A EP05712329 A EP 05712329A EP 1720460 A2 EP1720460 A2 EP 1720460A2
Authority
EP
European Patent Office
Prior art keywords
needle
surgical
cutting edges
needle body
leading
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP05712329A
Other languages
German (de)
English (en)
Other versions
EP1720460A4 (fr
Inventor
Robert Desantis
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Tyco Healthcare Group LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tyco Healthcare Group LP filed Critical Tyco Healthcare Group LP
Publication of EP1720460A2 publication Critical patent/EP1720460A2/fr
Publication of EP1720460A4 publication Critical patent/EP1720460A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/0084Material properties low friction
    • A61B2017/00849Material properties low friction with respect to tissue, e.g. hollow organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06028Means for attaching suture to needle by means of a cylindrical longitudinal blind bore machined at the suture-receiving end of the needle, e.g. opposite to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06071Needles, e.g. needle tip configurations with an abrupt angle formed between two adjacent sections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06085Needles, e.g. needle tip configurations having a blunt tip

Definitions

  • the present disclosure relates to a surgical suturing needle for suturing cutaneous and subcutaneous tissue, and in particular, relates to a surgical needle including a blunt needle end for minimizing undesired or inadvertent penetration of tissue while also possessing cutting edges extending from the blunt needle end to provide penetration capabilities comparable to conventional pointed surgical needles.
  • Suturing needles for applying sutures, or stitches, by hand in cutaneous and subcutaneous tissue are well known in the art.
  • the suturing needles are used to close wounds or adjoin adjacent tissue, often at the conclusion of a surgical procedure.
  • Suturing needles are usually made from a cut blank of material such as stainless steel. The cut blank is
  • the shaft generally includes a shaft, a rear end portion with an aperture or channel to secure a suture thread and a needle head at a front end portion for puncturing skin and passing through tissue.
  • needle head typically incorporates a sharpened needle tip at its distal end and cutting edges.
  • the needle tip may be of a tapered configuration.
  • Straight and curved needles including multiple curved configurations are also known in the art.
  • suture needles typically incorporate an extremely sharpened needle end. Sharper needles require less force to penetrate tissue and thus cause less tissue trauma. In addition, a sharper needle reduces fatigue on the needle itself, making it less likely to bend or
  • Needle sharpness is typically defined in terms of “penetration force” ⁇ the force necessary for a needle to puncture, or penetrate, the tissue.
  • the penetration force is primarily determined by the design and sharpness of the needle point and the cutting edges formed on the needle head. Needle sharpness is also affected by drag force on the needle as it travels through the tissue. The drag force also depends upon the design and sharpness of the needle, and
  • blunt surgical needles have been proposed. These surgical needles are generally of the taper-point design gradually tapering to a blunt needle end. However, these blunt surgical needles
  • taper point needles are devoid of cutting edges which detract from their usefulness in suturing tissue where relatively high penetration and drag forces are required to accomplish each needle
  • the surgical needle includes a needle body including leading and trailing ends and defining a longitudinal axis, a needle tip disposed adjacent the leading end of the needle body and having a blunt outer surface defining an arcuate configuration and at least one cutting edge extending from the needle tip toward the trailing end of the needle body.
  • the needle tip defines a circular cross-sectional dimension and may define a general spherical configuration.
  • the needle tip may define a general elliptical cross-sectional dimension.
  • the needle body includes a plurality (e.g., at least four) of cutting edges extending from the needle tip toward the needle body. Planar surface portions are disposed between adjacent cutting edges.
  • the needle body includes concave surface portions disposed between and forming the cutting edges.
  • the needle body preferably defines an outer extent adjacent leading ends of the
  • the leading ends of the cutting edges do not extend beyond the periphery of the needle tip. This feature significantly reduces the potential of tissue snagging on the leading ends of the cutting edges during a pass through tissue.
  • the outer extent of the needle body inclusive of the leading ends may be greater than an outer
  • the surgical needle includes a needle body defining leading and trailing ends, a general spherical region disposed adjacent the leading end of
  • the needle body and having a blunt outer surface, and a plurality of cutting edges extending from the spherical region toward the trailing end of the needle body.
  • FIG. 1 is a side elevational view of the surgical needle in accordance with the principles of the present disclosure
  • FIG. 2 is a side plan view of the needle end of the surgical needle of FIG. 1
  • FIG. 3 is an axial view of the needle end
  • FIG. 4 is a cross-sectional view of the needle end of the surgical needle taken along the lines 4-4 of FIG. 2
  • FIG. 5 is a cross-sectional view similar to FIG. 4 illustrating an alternate embodiment of the needle end
  • FIG. 6 is a cross-sectional view of the needle end of the surgical needle taken
  • FIG. 7 is a side plan view of another alternate embodiment of the surgical needle
  • FIG. 8 is an axial view of an alternative embodiment of the surgical needle of FIG. 1.
  • the surgical needle 10 of the present disclosure is a surgical needle 10 of the present disclosure.
  • Surgical needle 10 includes elongated needle body 12 havmg rear or trailing end 14 and forward or leading needle end 16. Needle body 12 is curved along its length through an arc "G" ranging from about 90° to about 180°. Narious angles of curvature are also envisioned. It is also contemplated that needle body 12 may be straight. As depicted in FIG. 2, needle body 12 defines longitudinal axis "y" which extends along the length of needle body 12.
  • trailing end 14 of needle body 12 defines a circular channel 20 (shown in phantom) dimensioned for reception of a suture end of a suture 100.
  • Channel 20 is closed about the suture end through conventional swaging or crimping processes to secure the suture 100 to elongated needle body 12. The dimensioning of channel 20
  • trailing end 14 may be selected to provide for permanent (non-detachable) or detachable
  • Channel 20 may be formed with a conventional laser drilling process or the like. It is further envisioned that trailing end 14 may be provided with an open u-shaped channel, an eyelet etc. for receiving the suture end.
  • Adhesive suture attachment methodologies are also envisioned where trailing end 14 is devoid of an opening or channel.
  • Needled end 16 includes needle tip 22, which in a preferred embodiment, defines a bulbous or spherical configuration having an arcuate outer surface 24. This spherical
  • Needle tip 22 may be in the form of a true spherical portion having a circular cross-section (FIG. 4) or alternatively may be an ellipsoid with an elliptical cross-section (FIG. 5).
  • An elliptical arrangement may be desired in instances where a reduced needle profile is required to, e.g., minimize the penetration force associated with entering
  • Needle tip 22 is devoid of any sharpened edges and/or planar surfaces which would otherwise undesirably alter the blunt characteristic and functionality of the
  • Needle body 12 further includes a plurality of cutting edges 26 which extend from
  • cutting edges 26 are provided, however, more or less than four cutting edges 26 are also contemplated. Cutting edges
  • Cutting edges 26 extend in a general longitudinal direction relative to longitudinal axis "y" and terminate at an intermediate portion 28 of needle body 12. Cutting edges 26 gradually taper outwardly toward trailing end 14 at an angle ranging from about 1° to about 10° relative to the longitudinal axis.
  • Cutting edges 26 are preferably triangular in cross-section as depicted in FIG. 6.
  • Cutting edges 26 define an effective lateral or radial extent at their leading ends 30 adjacent needle tip 22 substantially equivalent to the radial extent, i.e., diameter of needle tip 22. In particular, leading ends 30 of cutting edges 26 do not extend radially beyond the periphery, of
  • cutting edges 26 may be dimensioned to extend beyond the diameter of needle tip as depicted in the embodiment of FIG. 7.
  • needle body 12 further includes planar surfaces 32 which are disposed between cutting edges 26.
  • needle body 12 may incorporate concave surfaces 34.
  • Concave surfaces 34 may be formed through a conventional grinding process, e.g., a hollow grinding process, to extend between and define cutting edges 26. Concave surfaces 34 advantageously reduce required
  • Preferred materials include stainless steel such as series "300" stainless steels, which typically have tensile strengths of between 325,000-350,000 lbs/in.sup.2, attain their high strength from undergoing cold working as the material is converted from an ingot to wire of the desired diameter. "400" series stainless steel materials may also be utilized to form needle 10. Titanium, titanium alloys, biocompatible plastics are also envisioned.
  • Surgical needle 10 is manufactured through conventional cutting, coining, grinding
  • a lubricious coating such as silicon may be applied to needle body to further enhance penetration and drag characteristics.
  • Sutures for attachment to surgical needle 10 include silk, nylon, linen, cotton, polyester, polypropylene, stainless steel, natural material such as catgut, synthetic polymers having glycolic acid ester linkages subject to hydrolytic degradation to non-toxic tissue compatible absorbable components, including polyglycolic acid.
  • the sutures may be monofilamentary or braided, absorbable or non-absorbable.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne une aiguille chirurgicale qui comprend un corps d'aiguille définissant des extrémités avant et arrière, une région généralement sphérique disposée de manière adjacente à l'extrémité avant du corps de l'aiguille et présentant une surface extérieure franche, et une pluralité de bords coupants s'étendant depuis la région sphérique vers l'extrémité arrière du corps de l'aiguille.
EP05712329A 2004-02-12 2005-02-01 Aiguille a suture chirurgicale a region spherique franche Withdrawn EP1720460A4 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US54428804P 2004-02-12 2004-02-12
PCT/US2005/002845 WO2005079222A2 (fr) 2004-02-12 2005-02-01 Aiguille a suture chirurgicale a region spherique franche

Publications (2)

Publication Number Publication Date
EP1720460A2 true EP1720460A2 (fr) 2006-11-15
EP1720460A4 EP1720460A4 (fr) 2010-08-04

Family

ID=34886016

Family Applications (1)

Application Number Title Priority Date Filing Date
EP05712329A Withdrawn EP1720460A4 (fr) 2004-02-12 2005-02-01 Aiguille a suture chirurgicale a region spherique franche

Country Status (3)

Country Link
US (1) US8002796B2 (fr)
EP (1) EP1720460A4 (fr)
WO (1) WO2005079222A2 (fr)

Families Citing this family (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6458109B1 (en) 1998-08-07 2002-10-01 Hill-Rom Services, Inc. Wound treatment apparatus
US6764462B2 (en) 2000-11-29 2004-07-20 Hill-Rom Services Inc. Wound treatment apparatus
US6824533B2 (en) 2000-11-29 2004-11-30 Hill-Rom Services, Inc. Wound treatment apparatus
WO2001089431A1 (fr) 2000-05-22 2001-11-29 Coffey Arthur C Pansement combine sis et vide, et procede associe
US6685681B2 (en) 2000-11-29 2004-02-03 Hill-Rom Services, Inc. Vacuum therapy and cleansing dressing for wounds
US6855135B2 (en) 2000-11-29 2005-02-15 Hill-Rom Services, Inc. Vacuum therapy and cleansing dressing for wounds
WO2003030966A1 (fr) 2001-10-11 2003-04-17 Hill-Rom Services, Inc. Recipient a dechets pour therapie par aspiration
WO2003057307A1 (fr) 2001-12-26 2003-07-17 Hill-Rom Services, Inc. Kit de pansement pour soin de plaie sous vide
EP1476217B1 (fr) 2001-12-26 2008-03-05 Hill-Rom Services, Inc. Emballage de pansement sous vide
WO2003057070A2 (fr) 2001-12-26 2003-07-17 Hill-Rom Services Inc. Pansement sous vide ventile et procede
CA2481016C (fr) 2002-04-10 2012-04-03 Hill-Rom Services, Inc. Ouvertures d'acces dans un pansement sous vide
WO2004018020A1 (fr) 2002-08-21 2004-03-04 Hill-Rom Services, Inc. Pansement permettant d'empecher une blessure de se refermer
US20080051833A1 (en) * 2006-08-25 2008-02-28 Vincent Gramuglia Suture passer and method of passing suture material
JP2009050415A (ja) * 2007-08-27 2009-03-12 Manii Kk 医療用縫合針
ES2647241T3 (es) 2008-12-02 2017-12-20 Allergan, Inc. Dispositivo de inyección
US11318009B2 (en) * 2012-05-04 2022-05-03 Lipocosm, Llc Surgical tools and methods for their use
CA2876116A1 (fr) * 2012-06-14 2013-12-19 Asahi Kasei Medical Co., Ltd. Aiguille de ponction
CN104582589A (zh) * 2012-08-22 2015-04-29 柯惠Lp公司 组织固定装置
WO2014031599A1 (fr) * 2012-08-23 2014-02-27 Covidien Lp Dispositif de fixation de tissu
EP2967554B1 (fr) * 2013-03-12 2019-07-10 Allergan Holdings France S.A.S. Aiguille émoussée pour la pose de fils de comblement dermique
US20140350518A1 (en) 2013-05-23 2014-11-27 Allergan, Inc. Syringe extrusion accessory
US10029048B2 (en) 2014-05-13 2018-07-24 Allergan, Inc. High force injection devices
US10226585B2 (en) 2014-10-01 2019-03-12 Allergan, Inc. Devices for injection and dosing
KR20170136522A (ko) 2015-03-10 2017-12-11 알러간 파마슈티컬스 홀딩스 (아일랜드) 언리미티드 컴파니 다중 바늘 주입기
CA3020146A1 (fr) 2016-04-08 2017-10-12 Allergan, Inc. Dispositif d'aspiration et d'injection
US10709444B2 (en) 2017-01-24 2020-07-14 Allergan Industrie Sas Thread insertion devices
US10820900B2 (en) 2017-01-24 2020-11-03 Allergan Industrie Sas Thread insertion devices
US10258447B2 (en) 2017-01-24 2019-04-16 Allergan Industrie Sas Thread insertion devices
US10265151B2 (en) 2017-01-24 2019-04-23 Allergan Industrie Sas Thread insertion devices
US10595977B2 (en) 2017-01-24 2020-03-24 Allergan Industrie, Sas Thread insertion devices
USD867582S1 (en) 2017-03-24 2019-11-19 Allergan, Inc. Syringe device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5123910A (en) * 1990-11-07 1992-06-23 Mcintosh Charles L Blunt tip surgical needle
EP0494648A2 (fr) * 1991-01-07 1992-07-15 United States Surgical Corporation Aiguille chirurgicale siliconisée
EP0500229A1 (fr) * 1991-02-21 1992-08-26 Matsutani Seisakusho Co. Ltd., Méthode pour appliquer un revêtement sur une aiguille de suture
US5342397A (en) * 1993-10-18 1994-08-30 Ethicon, Inc. Cutting edge and tapercut needles having a blunt tip
EP0619983A2 (fr) * 1993-04-15 1994-10-19 Kabushiki Kaisha Matsutani Seisakusho Aiguille chirurgicale et dispositif pour la meuler
EP0648473A1 (fr) * 1993-10-18 1995-04-19 Ethicon, Inc. Aiguille à extrémité émoussée
US5665078A (en) * 1993-10-18 1997-09-09 Ethicon, Inc. Surgical needle with decreased penetration

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3238942A (en) * 1964-10-19 1966-03-08 Harvey A Lincoff Surgical needle
US3636955A (en) * 1969-12-03 1972-01-25 Deknatel Inc Surgical cutting needle
DE3508013A1 (de) * 1984-07-28 1986-02-06 Peter 7730 Villingen-Schwenningen Krebs Kombinationsnadel fuer die axillaere plexus-brachialis-anaesthesie
US4699612A (en) * 1985-04-01 1987-10-13 Hamacher Edward N Infusion needle
US4799484A (en) * 1987-04-10 1989-01-24 Ethicon, Inc. Tapered I-beam surgical needles
US4966143A (en) * 1988-12-06 1990-10-30 Meinershagen Charles I Surgical wire guide
US5053047A (en) * 1989-05-16 1991-10-01 Inbae Yoon Suture devices particularly useful in endoscopic surgery and methods of suturing
US5100390A (en) * 1990-10-22 1992-03-31 Norma A. Lubeck Lubeck spinal catheter needle
WO1995001129A1 (fr) * 1993-07-01 1995-01-12 W.L. Gore & Associates, Inc. Aiguille a suture
US5403344A (en) * 1993-07-22 1995-04-04 American Cyanamid Co. Multi-faceted surgical needle
US5609604A (en) * 1995-10-16 1997-03-11 Ethicon Endo-Surgery, Inc. Trocar with improved blade attachment
CA2197368A1 (fr) * 1996-02-15 1997-08-16 Daniel J. Smith Aiguille a bord tranchant creux prete a utiliser
US5913875A (en) * 1996-05-30 1999-06-22 Ethicon, Inc. Taper point needle
US5683417A (en) * 1996-08-14 1997-11-04 Cooper; William I. Suture and method for endoscopic surgery
US5964765A (en) * 1998-04-16 1999-10-12 Axya Medical, Inc. Soft tissue fixation device
US7063716B2 (en) * 2002-07-17 2006-06-20 Tyco Healthcare Group, Lp Uniform stress needle
US7338502B2 (en) * 2002-12-18 2008-03-04 Rosenblatt Associates, Llc Systems and methods for soft tissue reconstruction

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5123910A (en) * 1990-11-07 1992-06-23 Mcintosh Charles L Blunt tip surgical needle
EP0494648A2 (fr) * 1991-01-07 1992-07-15 United States Surgical Corporation Aiguille chirurgicale siliconisée
EP0500229A1 (fr) * 1991-02-21 1992-08-26 Matsutani Seisakusho Co. Ltd., Méthode pour appliquer un revêtement sur une aiguille de suture
EP0619983A2 (fr) * 1993-04-15 1994-10-19 Kabushiki Kaisha Matsutani Seisakusho Aiguille chirurgicale et dispositif pour la meuler
US5342397A (en) * 1993-10-18 1994-08-30 Ethicon, Inc. Cutting edge and tapercut needles having a blunt tip
EP0648473A1 (fr) * 1993-10-18 1995-04-19 Ethicon, Inc. Aiguille à extrémité émoussée
US5665078A (en) * 1993-10-18 1997-09-09 Ethicon, Inc. Surgical needle with decreased penetration

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2005079222A2 *

Also Published As

Publication number Publication date
US8002796B2 (en) 2011-08-23
WO2005079222A3 (fr) 2007-08-02
WO2005079222A2 (fr) 2005-09-01
EP1720460A4 (fr) 2010-08-04
US20050182446A1 (en) 2005-08-18

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